Provider Demographics
NPI:1861736969
Name:ARBUCKLE HOME HEALTH, INC.
Entity type:Organization
Organization Name:ARBUCKLE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:P
Authorized Official - Last Name:BABB
Authorized Official - Suffix:
Authorized Official - Credentials:RN,ADM,OWNER
Authorized Official - Phone:580-622-5529
Mailing Address - Street 1:1200 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:OK
Mailing Address - Zip Code:73086-3831
Mailing Address - Country:US
Mailing Address - Phone:580-622-5529
Mailing Address - Fax:580-622-5538
Practice Address - Street 1:1200 W 2ND ST
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-3831
Practice Address - Country:US
Practice Address - Phone:580-622-5529
Practice Address - Fax:580-622-5538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health